Test Code lab1231752 Methemoglobin and Sulfhemoglobin, Blood
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Reporting Name
Methemoglobin and Sulfhemoglobin, BSpecimen Type
Whole Blood EDTAShipping Instructions
Specimen must arrive within 72 hours of collection.
Necessary Information
Patient's age is required.
Specimen Required
Container/Tube: Lavender top (EDTA)
Specimen Volume: Full tube
Collection Instructions: Send whole blood specimen in original tube. Do not aliquot.
Additional Information: Patient's age is required.
Reject Due To
| Gross hemolysis | Reject |
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole Blood EDTA | Refrigerated | 72 hours |
Specimen Minimum Volume
1 mL
Day(s) Performed
Monday through Saturday
Specimen Retention Time
7 daysReport Available
Same day/1 to 3 daysReference Values
METHEMOGLOBIN
0-11 months: Not established
≥1 year: 0.0-1.5% of total hemoglobin
SULFHEMOGLOBIN
0-11 months: Not established
≥1 year: 0.0-0.4% of total hemoglobin
Useful For
Diagnosing methemoglobinemia and sulfhemoglobinemia
Identifying cyanosis due to other causes, such as congenital heart disease
CPT Code Information
83050-Methemoglobin
83060-Sulfhemoglobin
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| MET | Methemoglobin and Sulfhemoglobin, B | 98902-0 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 8268 | Methemoglobin, B | 2614-6 |
| 8272 | Sulfhemoglobin, B | 4685-4 |
Method Description
Methemoglobin:
The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. The absorption spectrum of methemoglobin exhibits a small, characteristic peak at 630 nm. This peak is abolished as methemoglobin is converted to cyanmethemoglobin upon addition of potassium cyanide, and the drop in optical density is proportional to methemoglobin concentration.
Sulfhemoglobin:
The normal absorption spectrum of oxyhemoglobin has very little optical density above 600 nm. However, if certain poorly defined hemoglobin denaturation products are present in a hemolysate, there is a broad elevation of the absorption curve in the range of 600 nm to 620 nm. This sulfhemoglobin plateau is not affected by treatment with cyanide. Sulfhemoglobin is not available, nor can it be prepared, in a pure form for preparation of a sulfhemoglobin standard. In calculating sulfhemoglobin concentration, the factor for sulfhemoglobin quantitation is based on studies of Carrico, et al.(Evelyn KA, Malloy HT. Microdetermination of oxyhemoglobin, methemoglobin, and sulfhemoglobin in a single sample of blood. J Biol Chem. 1938;126:655-662; Carrico RJ, Peisach J, Alben JO. The preparation and some physical properties of sulfhemoglobin. J Analyt Biochem. 1978;253[10]:2386-2391; So JCC, Ma ESK. Hemoglobin and hemoglobinopathies. In: Rifai N, Chiu RWK, Young I, Burnham CAD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. Elsevier; 2023:chap 77)
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| METH | Methemoglobin, B | No | Yes |
| SULF | Sulfhemoglobin, B | No | Yes |
Forms
If not ordering electronically, complete, print, and send a Benign Hematology Test Request Form (T755) with the specimen.